Yadkin Vision Center O.D., Pllc

LBN: Yadkin Vision Center O.D., Pllc
Yadkin Vision Center O.D., Pllc is an health care organization with primary practice located at 225 E Lee Ave , Yadkinville NC 27055-8227. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Yadkin Vision Center O.D., Pllc can be contacted via phone (336) 679-2931, or through Gordon, Scott via phone (336) 679-2931.

Contact Information

Primary practice address
225 E Lee Ave Yadkinville NC 27055-8227
Phone: (336) 679-2931
Fax: (336) 677-6486
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Scott Doctor of Optometry (OD)
Phone: (336) 679-2931

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1487807616
LBN Legal business name Yadkin Vision Center O.D., Pllc
DBA Doing business as
Authorized official Gordon, Scott Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2008
Last updated May 6th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487807616 NPPES
North Carolina MEDICAID 5950718

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